USC DEPARTMENT OF SURGERY (NPI# 1669790812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669790812 |
| Entity Type | Organization |
| Organization Name | USC DEPARTMENT OF SURGERY |
| Other Organization Name | USC UNIVERSITY HOSPITAL |
| Practice Address |
1510 San Pablo St Suite 514 Los Angeles CA 90033-5320 |
| Practice Telephone | 3234429058 |
| Practice Fax Number | 3234425803 |
| Mailing Telephone | 3234429058 |
| Mailing Fax Number | 3234425803 |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2010-05-12 |
| Authorized Official Name | DR. JEFFREY A. HAGEN (DIVISION CHIEF) |
| Authorized Official Telephone | 3234429058 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 284300000X | Special Hospital | F 5615 | CA | Hospitals |
| Other Name | Type Code |
|---|---|
| USC University Hospital | Other Name - Individual/Organization |
| Street Address |
1510 SAN PABLO ST SUITE 514 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90033-5320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225012776 | Nancy Danz Shebel | Nurse Practitioner | 1510 San Pablo St, Suite 514, Los Angeles, CA 90033-5320 | 2005-11-29 |
| 1154816866 | Dordaneh Eureka Sugano | Student in an Organized Health Care Education/Training Program | 1510 San Pablo St, Los Angeles, CA 90033-5320 | 2018-06-25 |
| 1841739299 | Ashley Brown | Plastic Surgery | 1510 San Pablo St, Suite 415, Los Angeles, CA 90033-5320 | 2017-02-17 |
| 1184167140 | Eric Nagengast | Student in an Organized Health Care Education/Training Program | 1510 San Pablo St, Suite 415, Los Angeles, CA 90033-5320 | 2016-11-23 |
| 1114370129 | Sylvia Yolanda Rodriguez | Pharmacist | 1510 San Pablo St, Suite 144, Los Angeles, CA 90033-5320 | 2016-07-14 |
| 1497106843 | Keck Medical Center | General Acute Care Hospital | 1510 San Pablo St, Suite 322, Los Angeles, CA 90033-5320 | 2016-06-27 |
| 1568825024 | Cybele Arsan | Student in an Organized Health Care Education/Training Program | 1510 San Pablo St, Los Angeles, CA 90033-5320 | 2016-04-01 |
| 1104206176 | University of Southern California | Skilled Nursing Facility | 1510 San Pablo St, Hcc 600, Los Angeles, CA 90033-5320 | 2015-06-04 |
| 1770960221 | Susana Dahdul | Social Worker | 1510 San Pablo St, Hcc 200, Los Angeles, CA 90033-5320 | 2015-05-05 |
| 1619368461 | Victor Nekrasov | Surgery | 1510 San Pablo St, Hcc I, Suite 514, Los Angeles, CA 90033-5320 | 2015-02-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376165050 | Noa Yee | Student in an Organized Health Care Education/Training Program | 1200 N. State Street, Gnh 1011, Los Angeles, CA 90033 | 2020-05-15 |
| 1629690144 | Monica Lopez | Respiratory Therapist, Registered | 1251 Marengo St, Los Angeles, CA 90033 | 2020-05-07 |
| 1649890401 | Antonio Hernandez Saenz | Student in an Organized Health Care Education/Training Program | 1200 N. State Street Gnh 1060k, Los Angeles, CA 90033 | 2020-04-22 |
| 1417585100 | Kelsey Grace Shea | Student in an Organized Health Care Education/Training Program | 1200 N State St Ird 112, Los Angeles, CA 90033 | 2020-03-30 |
| 1891322780 | Carolyn Kan | Student in an Organized Health Care Education/Training Program | 1200 North State Street Clinic Tower, Suite A7d, Los Angeles, CA 90033 | 2020-03-23 |
| 1902445786 | Maury M Hopkins | Registered Nurse | 1883 Marengo Street, Los Angeles, CA 90033 | 2019-12-27 |
| 1982259792 | Beverly Austin Mccabe | Registered Nurse | 1720 E. Cesar Chavez Ave., Los Angeles, CA 90033 | 2019-08-08 |
| 1093369399 | Christine Yoon | Pharmacist | 1611 E Cesar Chavez Ave, Los Angeles, CA 90033 | 2019-07-25 |
| 1073075339 | Johanna Keller | Student in an Organized Health Care Education/Training Program | La County +usc Medical Center, 2051 Marengo Street, Los Angeles, CA 90033 | 2019-04-04 |
| 1386115137 | Sonya Lorain Earley | Physician Assistant | 2020 Zonal Avenue, Ird 626, Los Angeles, CA 90033 | 2018-12-05 |
| Find all providers in zip 90033 | ||||
| Taxonomy Code | 284300000X |
| Grouping | Hospitals |
| Classification | Special Hospital |
| A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical. |
| Notes: Source: AHA Guide, Registration section, p. A5. |
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| 1427232453 | Ucla Hospital Dentistry Faculty | Special Hospital | Ucla Hospital Dentistry Faculty, 10833 Le Conte Ave. Chs Bldg. Room A0-156, Los Angeles, CA 90095-0001 | 2007-12-27 |
| 1568644565 | Veterans Administration Hospital | Special Hospital | 3744 Inglewood Blvd, Los Angeles, CA 90066-3250 | 2007-11-30 |
| 1730630948 | Iam-dr.clinic | Special Hospital | 903 S. Crenshaw Blvd, 302, Los Angeles, CA 90019-1914 | 2016-10-24 |
| 1477921641 | Defense Finance & Actg Serve Agent for Veterans Affairs | Special Hospital | 11301 Wilshire Blvd, Building 258, Los Angeles, CA 90073-1003 | 2015-09-04 |
| 1497123699 | Defense Finance & Actg Serv | Special Hospital | 11301 Wilshire Blvd, Los Angeles, CA 90073-1003 | 2015-09-04 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90033 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.